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The Effect of High-Intensity Treadmill Training on Motor Function in Patients with a Stroke 高强度跑步机训练对中风患者运动功能的影响
Pub Date : 2022-05-30 DOI: 10.47176/sjmshm.4.1.1
S. Abbasian, Mahsa Kargar Moghaddam, Behzad Nazari
The current study’s aim was to investigate the properties of treadmill training on the stroke-induced neurological deficit in both human and animal studies. Our searches identified 87 potentially suitable studies, of which 34 met our inclusion criteria for inclusion. Four were studies on humans and 30 on animals. We also considered studies with one or more independent variables (intensity and/or duration of treadmill training) and neurological scale as the dependent variable as well as studies with one or more independent variables and more than one dependent variable. Besides the given independent variables, body-weight support (BWS) during treadmill training (10 to 40% of body mass) was also regarded as an important bias for collected studies. This study displayed treadmill training regardless of intensity and volume/duration had significant greater recovery of motor function than did no-training (SMD= 0.601; 95% CI= 0.546 to 0.657; P=0.0001). The current study exhibited that low intensity (≤ 0.6 m/s) - high duration/volume (>500 minutes) treadmill training as a rehabilitation strategy had the highest SMD to ameliorate stroke-induced dysfunctions compared to the other strategies.
目前的研究目的是在人类和动物研究中调查跑步机训练对中风引起的神经功能障碍的特性。我们的检索确定了87项潜在的合适研究,其中34项符合我们的纳入标准。其中4项是人类研究,30项是动物研究。我们还考虑了有一个或多个自变量(跑步机训练的强度和/或持续时间)和神经系统量表作为因变量的研究,以及有一个或多个自变量和多个因变量的研究。除了给定的自变量外,跑步机训练期间的体重支持(BWS)(体重的10 - 40%)也被认为是收集研究的重要偏差。该研究显示,无论强度和量/持续时间如何,跑步机训练比不训练的运动功能恢复明显更大(SMD= 0.601;95% CI= 0.546 ~ 0.657;P = 0.0001)。目前的研究表明,与其他策略相比,低强度(≤0.6 m/s) -高持续时间/容量(bbb500分钟)的跑步机训练作为一种康复策略,在改善脑卒中引起的功能障碍方面具有最高的SMD。
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引用次数: 1
Investigating the Pattern of Direct Medical Costs of Covid-19 Patients in Hospitals of Ilam Province 伊拉姆省医院新冠肺炎患者直接医疗费用模式调查
Pub Date : 2021-10-20 DOI: 10.47176/sjmshm.3.4.1
J. Sadeghifar, Fereshteh Karimi, Mohammad Bayar, M. Veisi, Yaser Soleymani, M. Radabadi, Saeid Bicheranlou
Direct medical costs are the most well-known category of disease costs. This study aimed to investigate and analyze the direct medical costs of patients with Covid19 by services provided in the centers and hospitals affiliated to Ilam University of Medical Sciences. This study was a descriptive-analytical cross-sectional study using hospital costs information in Ilam province from March 2019 to September 2021. Financial information related to all patients diagnosed with Covid-19 disease was collected in all hospitals of the province and classified and reviewed using Excel 2016 software. In general, 1713711 services were provided in medical centers affiliated to Ilam University of Medical Sciences. Most of these services were provided in Shahid Mostafa Khomeini Educational and Medical Center as the main medical center for patients with Covid-19 in Ilam. The results of the study showed that among the direct medical costs, medication services (30%), laboratory (16%) and inpatient care (11%), were the highest costs in Ilam University of Medical Sciences. In total, out of the total direct medical costs, the share of patient's payments was 10%. The share of insurance companies in total expenditures was 83% and the share of government subsidy was 7%. Examining the pattern of drug consumption and pharmaceutical services can be considered as one of the key sectors by health policy makers in Ilam province, because the 30% share of pharmaceutical expenditures showed that the management of these services greatly control the medical expenditures of Ilam University of Medical Sciences.
直接医疗费用是最广为人知的疾病费用类别。本研究旨在通过伊拉姆医科大学附属中心和医院提供的服务,调查和分析新冠肺炎患者的直接医疗费用。本研究是一项描述性分析横断面研究,使用了2019年3月至2021年9月伊拉姆省的医院费用信息。收集全省所有医院新冠肺炎确诊患者的财务信息,使用Excel 2016软件进行分类审核。总的来说,伊拉姆医科大学附属医疗中心提供了1713711项服务。这些服务大部分是在沙希德·穆斯塔法·霍梅尼教育和医疗中心提供的,该中心是伊拉姆市新冠肺炎患者的主要医疗中心。研究结果表明,在直接医疗费用中,药物服务(30%)、实验室(16%)和住院护理(11%)是伊拉姆医科大学最高的费用。总的来说,在全部直接医疗费用中,患者支付的份额为10%。保险公司支出占总支出的83%,政府补贴占7%。检查药品消费模式和药品服务可被视为伊拉姆省卫生政策制定者的重点部门之一,因为30%的药品支出份额表明,这些服务的管理极大地控制了伊拉姆医科大学的医疗支出。
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引用次数: 1
Effectiveness of Supportive and Educational Group Therapy on Mental Health Improvement of Mothers of Children with Autism Spectrum Disorder 支持与教育团体治疗对自闭症谱系障碍患儿母亲心理健康改善的效果
Pub Date : 2021-10-20 DOI: 10.47176/sjmshm.3.3.1
M. Kousha, Fatemeh Eslamdoust-Siahestalkhi, Rahime Sadat Rafieian, Yasmin Shoar
Objective: The aim of this study was to evaluate the effectiveness of supportive and educational group therapy on mental health improvement of mothers of children with Autism Spectrum Disorder (ASD). Method: In this quasiexperimental pre – post study, 20 participants with high levels of anxiety and depression and low levels of quality of life (QOL) were recruited from 127 mothers of children with Autism Spectrum Disorder. There were 10 mothers in the intervention group and 10 in the control group. The intervention program consisted of 6 two-hour sessions with an educational portion about the symptoms, etiology and treatment of ASD, and a supportive portion for managing stress and learning problem solving. Results: The mean scores of anxiety and depression decreased and QOL increased significantly in the experimental group 2 weeks after group sections, while this did not occur in the control group. This indicates significant improvement in the mental health of mothers of children with ASD following supportive and educational group therapy. Conclusion: Supportive and educational group therapy is effective for improving the mental health of mothers with ASD children.
目的:探讨支持性教育团体治疗对自闭症谱系障碍(ASD)患儿母亲心理健康改善的效果。方法:采用准实验的前后研究方法,从127名自闭症谱系障碍儿童的母亲中招募20名焦虑抑郁程度高、生活质量低的被试。干预组有10位母亲对照组有10位母亲。干预计划包括6个小时的会议,其中教育部分是关于ASD的症状,病因和治疗,以及管理压力和学习解决问题的支持部分。结果:实验组患者在分组切片2周后焦虑、抑郁平均评分明显下降,生活质量明显提高,而对照组患者无此现象。这表明在支持性和教育性团体治疗后,自闭症儿童母亲的心理健康有了显著改善。结论:支持教育团体治疗可有效改善ASD患儿母亲的心理健康状况。
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引用次数: 0
Comparing ISI and Non-ISI Iranian Medical Research Articles written in English 比较ISI和非ISI用英语写的伊朗医学研究文章
Pub Date : 2021-04-10 DOI: 10.47176/SJMSHM.3.2.1
Nilofar Bayandor, Vizayaletchumi Pauline Roslin
The main aim of this study was to see if any major difference(s) existed between ISI and Non-ISI English medical research articles in their application of major moves. To this effect, 36 randomly selected online articles from each group were subjected to analysis using Fryer‟s moves analysis framework. These articles were chosen on the basis of ease of accessibility, publication frequency and reputation. To test the hypotheses of this study, a Chi-Square Test of Independence was run to see if there were any significant differences between the number of moves employed in each section of ISI articles with those found in non-ISI articles. Overall, findings revealed that articles in both groups had significantly adhered to the major moves specified in the study‟s framework. Detail descriptive data analysis showed significant differences between the two groups in the use of Move11 (State the Limitation). It was found that 72% of the researchers in Type 1(ISI journals) had described the limitations of their studies while only36% of the authors in articles of Type 2(Non-ISI journals) had done so. However, the most striking similarities were seen in Move1 (Present Background Knowledge) and Move 12 (Conclusion). These moves were employed by all the articles in both Types of journals. In addition, two new moves named, Introduce Methods (M3) in the Introduction Section and Sample Selection (M6) in the Method Section were identified during analysis. Though the use of M3 was found to be insignificant, M6 was used by more than half of the articles in both groups. Overall, it was concluded that since articles in both groups had significantly adhered to the major moves specified in the study framework, other underlying criteria besides the application of common moves may exist in choosing articles to be published in Iranian ISI medical journals. These findings contribute to genre research and provide input for further analysis in this context.
本研究的主要目的是观察ISI和非ISI英文医学研究文章在主要步进的应用上是否存在重大差异。为此,从每组中随机选择36篇在线文章,使用Fryer的移动分析框架进行分析。这些文章是根据易获取性、发表频率和声誉来选择的。为了检验本研究的假设,我们进行了卡方独立性检验,以查看ISI文章的每个部分中使用的移动数量与非ISI文章中的移动数量之间是否存在显著差异。总的来说,研究结果表明,两组的文章都明显遵循了研究框架中规定的主要步骤。详细的描述性数据分析显示,两组在Move11的使用上存在显著差异(State the Limitation)。研究发现,在第一类(ISI期刊)中,72%的研究人员描述了他们研究的局限性,而在第二类(非ISI期刊)的文章中,只有36%的作者这样做了。然而,最惊人的相似之处出现在Move1 (Present Background Knowledge)和Move 12 (Conclusion)。这两种期刊的所有文章都采用了这些方法。此外,在分析过程中还发现了两个新动作,分别是Introduction Section中的Introduction Methods (M3)和Method Section中的Sample Selection (M6)。虽然M3的使用被发现是微不足道的,但两组中超过一半的文章都使用了M6。总的来说,得出的结论是,由于两组的文章都明显遵循了研究框架中规定的主要步骤,在选择发表在伊朗ISI医学期刊上的文章时,除了适用共同步骤外,可能还存在其他基本标准。这些发现有助于类型研究,并为这一背景下的进一步分析提供了输入。
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引用次数: 0
Compare coping styles and marital satisfaction in the patients with the bipolar disorder with the normal people 比较双相情感障碍患者与正常人的应对方式和婚姻满意度
Pub Date : 2020-08-01 DOI: 10.29252/sjmshm.2.3.1
M. Eshagh, E. Ahangari
This research is a descriptive as a scientific-comparison. The statistical society of this research is included two parts: all the hospitalization patients with a diagnosis of the bipolar disorder in the EBN SINA hospital in the Mashhad were available by the sampling method and normal and healthy people is of the random sampling method. The number of samples was formed of 100 people and the data collection tools is a DSM-V check list, the SCID interview, the orientation coping questionnaire against the problems and ENRICH marital satisfaction questionnaire. The data was analyzed by the version 19 of the SPSS software and the statistical method of the independent t-test and Xi2 non-parametric test.
本研究是一种描述性的科学比较。本研究的统计社会包括两部分:马什哈德EBN SINA医院诊断为双相情感障碍的所有住院患者采用抽样方法,正常和健康的人采用随机抽样方法。样本数量为100人,数据收集工具为DSM-V检查表、SCID访谈、针对问题的定向应对问卷和充实婚姻满意度问卷。数据分析采用SPSS 19版软件,采用独立t检验和Xi2非参数检验的统计方法。
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引用次数: 1
The effectiveness of cognitive behavior therapy on anxiety and depression inclusive 认知行为疗法对焦虑和抑郁的治疗效果
Pub Date : 1900-01-01 DOI: 10.29252/sjmshm.1.1.1
Nima Sabetfar, R. Sepahvand
Received date: 16 March, 2019 Review date: 22 July 2019 Accepted date:25 September 2019 Abstract Background: This study examined the effectiveness of cognitive behavior therapy on depression and anxiety improve learners. Methods: Using a quasi-experimental design Seventeen employees of Kish Free Zone Organization in accordance with criteria Psychiatric Association America were diagnosed with generalized anxiety and depression and were divided into two experimental and control groups. The experimental group were sixteen individual sessions of cognitive behavioral therapy. At the end of treatment and after three months of treatment, participants were re-evaluated. Results: The results showed that CBT significantly improved depression and generalized anxiety disorder at post-test and follow-up points. Conclusion: The results showed that CBT is effective in reducing symptoms of depression and anxiety.
摘要背景:本研究考察了认知行为疗法对学习者抑郁和焦虑的改善效果。方法:采用准实验设计,将17名符合美国精神病学协会诊断为广泛性焦虑和抑郁的基什自由区组织雇员分为实验组和对照组。实验组接受16次单独的认知行为治疗。在治疗结束和治疗三个月后,参与者被重新评估。结果:CBT在测试后和随访时显著改善抑郁和广泛性焦虑障碍。结论:CBT能有效减轻抑郁和焦虑症状。
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引用次数: 0
期刊
SRPH Journal of Medical Sciences and Healthcare Management
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